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New Patient Forms

Please print these forms, fill them out and bring them to your first appointment.

Patient Registration
Notice of Privacy Practices
Post-op Instructions
Medical History
Consent for Use and Disclosure
Of Health Information
Consent to Treatment of Minor
Records Release Form
Make an Appointment
Find us

115 S. Colorado Ave.

Haxtun, CO 80731

haxtundental@gmail.com

Tel: 970-774-7999

 

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